Facility Evaluation Report

At approximately 9:35 AM, Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to conduct a required 1-Year Visit and was greeted by a caregivers. Alma Corsiga, Licensee, was contacted by phone and arrived at approximately 9:50 AM. LPA was informed there were five (5) residents in care; two (2) were away at Day Program and three (3)) were present during inspection. Facility is a Residential Care Facility for the Elderly (RCFE) with an approved dementia plan and fire clearance capacity of six (6) non-ambulatory residents and hospice waiver for two (2) residents.

At approximately 10:00 AM, LPA initiated a tour of the facility and observed the following: Facility is a one-story home, was a comfortable temperature, free of odors and passageways were free from obstructions. Water temperature in clients' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed client showers with grab bars an non-slip mats as required. LPA observed a supply of clean linens, incontinent care products, and paper products available to clients. Clients' bedrooms were inspected and observed to have appropriate furnishings as outlined in Title 22 regulations. Cabinets in communal areas containing cleaning supplies and other items that could pose a risk were observed locked. Facility has at least two days of perishable foods and a supply of non-perishable foods. A large approximately one (1) foot long fish that a staff member had caught was observed to be wrapped in an absorbable cloth chux in the freezer and not stored in an air tight bag and labeled with the date per regulation (Type B) deficiency cited.

Medications were centrally stored and locked. There is outdoor space for activities. LPA observed toys, games, video games, and an ipad for resident use. In addition LPA observed an activity schedule, as well as, an opportunity for residents to attend area swim programming. An approximately three inch step was observed leading to an outside activity/office building that poses a potential trip hazard and a technical advisory was issued to install a small transition step or hand railing to reduce the threat.

Facility has a fire extinguisher, which was last inspected May 2025 as is fully charged. Smoke and Carbon Monoxide detectors were tested and operational during inspection.